Individual
ARIELLE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(646) 725-0628
Mailing address
11 LISA LN, STATEN ISLAND, NY 10312-1618
(646) 725-0628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
329359
NY
164W00000X
Licensed Practical Nurse
Primary
329359
NY
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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